Organization
PERFECT FIT FOOTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR ALEXANDER BARRIOS CPED (OWNER)
(312) 479-0403
Entity
Organization
Contact information
Practice address
15618 S 70TH CT, ORLAND PARK, IL 60462-5108
(708) 532-3302
(708) 532-3312
Mailing address
15618 S 70TH CT, ORLAND PARK, IL 60462-5108
(708) 532-3302
(708) 532-3312
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
212000132
IL
332BD1200X
Dialysis Equipment & Supplies (DME)
212000132
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
212000132
IL
335E00000X
Prosthetic/Orthotic Supplier
212000132
IL
Other
Enumeration date
03/17/2008
Last updated
05/10/2012
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